Individual
ANIYAH PATRICE WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7251 WEST LAKE MEAN BLVD, STE 210-220, LAS VEGAS, NV 89128
(702) 461-4403
Mailing address
153 BRIGHTON HILLS AVE, HENDERSON, NV 89002
(702) 886-4196
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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